Record of Employment for Unemployment Insurance
This file is used by employers to document employees who quit, are laid off, or are discharged. Employees should keep this certificate when applying for Unemployment Insurance benefits. The file includes employer and employee details, how to apply for benefits, and necessary information to have when applying.
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How do I fill this out?
To fill out this form, the employer needs to complete the employer information section and provide the form to the employee. The employee should then fill out their personal information and keep the form for their records. Ensure all details are accurate to avoid delays in Unemployment Insurance claims.

How to fill out the Record of Employment for Unemployment Insurance?
1
Employer completes employer information section.
2
Provide the form to the employee.
3
Employee fills out personal information section.
4
Keep the form for your records.
5
Submit the form when applying for Unemployment Insurance benefits.
Who needs the Record of Employment for Unemployment Insurance?
1
Employees who have quit, been laid off, or discharged need this form to apply for Unemployment Insurance benefits.
2
Employers need this form to record the employment details of employees who leave the company.
3
Human resources professionals use this form to ensure proper documentation of employment termination.
4
Unemployment insurance claims officers may request this form to verify employment details.
5
Payroll departments utilize this form to maintain accurate records of employment status changes.
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What are the instructions for submitting this form?
To submit this form, first ensure all sections are accurately filled out. You can submit the form online through the New York State Department of Labor website or mail it to the address provided on the form. For any questions, call the Telephone Claim Center toll-free at (888) 209-8124. Delays in submission may affect your Unemployment Insurance benefits.
What are the important dates for this form in 2024 and 2025?
Ensure to fill out and keep this form for any employment changes in 2024 and 2025. Key dates include January for yearly records and any dates of employment termination.

What is the purpose of this form?
This form is used to document employment termination for Unemployment Insurance purposes. It helps verify that a job was insured and may be required when applying for benefits. The form includes necessary details about both the employer and employee, ensuring accurate record-keeping.

Tell me about this form and its components and fields line-by-line.

- 1. Employer Name: Name of the employer providing the form.
- 2. NYS Employer Registration No.: New York State Employer Registration Number.
- 3. Federal Employer Identification No.: Federal Employer Identification Number.
- 4. Payroll Records Location: Address where payroll records are kept.
- 5. Location of Employment: Specific location or code of employment.
- 6. Employee Name: Full name of the employee.
- 7. Social Security No.: Social Security Number of the employee.
- 8. Notice to Federal Employee: Notification forms (SF8 and SF50) for federal employees.
- 9. Military Service Forms: Most recent separation form (DD214) and any DD215 forms from military service.
What happens if I fail to submit this form?
Failure to submit this form may delay the processing of Unemployment Insurance claims.
- Delayed Benefits: Your first payment may be delayed if the form is incomplete or missing.
- Incorrect Information: Incorrect details may cause claim processing issues.
- Verification Difficulties: Without this form, verifying employment details may be challenging.
How do I know when to use this form?

- 1. Employment Termination: Document details when an employee quits, is laid off, or discharged.
- 2. Unemployment Insurance Application: Provide necessary details when applying for Unemployment Insurance benefits.
- 3. Record Keeping: Maintain accurate employment records for the employer and employee.
- 4. HR Documentation: Ensure proper HR documentation for employment status changes.
- 5. Unemployment Claims: Verify employment details for unemployment claims processing.
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What information do I need to fill out this form?
You need employer information, employee personal details, and employment termination information to complete this form.
Who needs this form?
Employees, employers, HR professionals, unemployment insurance claims officers, and payroll departments need this form for various purposes.
What should I do if I don't have all the required information?
You can still file a claim, but missing information may delay your first payment. Gather as much information as possible before submission.
Where can I find my NYS Employer Registration Number or FEIN?
The NYS Employer Registration Number or FEIN is on your W-2 form(s).
Can I apply for Unemployment Insurance without this form?
This form is helpful but not mandatory for applying. However, it provides essential employment details that may be requested.
How do I provide my bank details for direct deposit?
Have a check from your personal checking account ready to provide your bank's routing number and your checking account number.
What happens if I submit incorrect information?
Incorrect information may delay your claim processing. Ensure all details are accurate before submission.